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July 11, 1931


JAMA. 1931;97(2):99-101. doi:10.1001/jama.1931.27310020001010

G. W., a white man, aged 42, a clergyman, was operated on for appendicitis in 1908, at the age of 20, by Dr. J. B. Murphy. He had been perfectly well subsequently until 1912, when at the age of 24, for five days out of the week, he developed attacks of diarrhea with loss of weight, which continued over a period of two months. Distention of the abdomen was present with slight pain in the upper half; there was no vomiting or passage of blood by the rectum. A physician had diagnosed the condition as gastric ulcer and prescribed powders with a soft diet; in six weeks the patient regained his weight. These attacks of diarrhea had occurred twice a year for four years, when he developed severe pains in the upper part of the abdomen. The patient soon learned that when he ate food the pain would be relieved,

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